<!DOCTYPE html>
<html lang="en">
	<head>
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		<meta name="description" content="">
		<meta name="author" content="Mosaddek">
		<meta name="keyword" content="FlatLab, Dashboard, Bootstrap, Admin, Template, Theme, Responsive, Fluid, Retina">
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		<title>Blank</title>

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	<body>

		<section id="container" class="">
			<!--header start-->
			<div id="header">

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			<!--sidebar end-->
			<!--main content start-->
			<section id="main-content">
				<section class="wrapper">
					<!-- page start-->
					<div class="main-container ace-save-state" id="main-container">

						<div class="main-content">
							<div class="main-content-inner">
								<div class="page-content">
									<div class="page-header">
										<h1>
											添加
											<small>
												<i class="ace-icon fa fa-angle-double-right"></i>
												事件
											</small>
										</h1>
									</div><!-- /.page-header -->

									<div class="row">
										<div class="col-xs-12">
											<!-- PAGE CONTENT BEGINS -->
											<form class="form-horizontal" role="form" id="myForm" method="post"
												enctype="multipart/form-data">
												<input type="text" name="appid" hidden>
												<input type="text" name="id" hidden>
												<div class="form-group">
													<label class="col-sm-3 control-label no-padding-right"
														for="versionno"> 老人姓名* </label>

													<div class="col-sm-5">
														<input type="text" id="versionno" name="versionno" value="张三"
															placeholder="请输入老人姓名" class="form-control "
															readonly="readonly" />
													</div>
												</div>
												<!-- <div class="form-group">
                                              <label class="col-sm-3 control-label no-padding-right" for="versionno"> 班次* </label>

                                              <div class="form-group">
                                              	<div class="col-lg-2 col-sm-6 col-xs-12">
                                              		<select id="aaaa" name="flatform" class="form-control">
                                              			<option value="">--班次--</option>
														<option value="">--早--</option>
														<option value="">--中--</option>
														<option value="">--晚--</option>
                                              		</select>
                                              	</div>
                                              </div>
                                          </div> -->


												<div class="form-group">
													<label class="col-sm-3 control-label no-padding-right"
														for="versioninfo"> 事件内容* </label>

													<div class="col-sm-5">
														<textarea class="form-control" id="versioninfo"
															name="versioninfo" placeholder="请输入事件内容"></textarea>
													</div>
												</div>



												<div class="clearfix form-actions">
													<div class="col-md-offset-3 col-md-9">
														<button class="btn btn-info" id="submit" type="button">
															<!--                                                      <i class="ace-icon fa fa-check bigger-110"></i>-->
															确定
														</button>

														&nbsp; &nbsp; &nbsp;
														<button class="btn btn-info" type="button"
															onclick="javascript:history.back()">
															<!--                                                      <i class="ace-icon fa fa-undo bigger-110"></i>-->
															返回
														</button>
													</div>
												</div>



											</form>

											<!-- PAGE CONTENT ENDS -->
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								</div><!-- /.page-content -->
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						</div><!-- /.main-content -->

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